EmpiRx Health reduced drug spend year-over-year by an average of 15% across our entire book of business.
Results Driven, Proactive Clinical Care Management
Our goal is to ensure better plan performance and healthier outcomes in today’s volatile prescription drug market through responsible cost containment, member and provider education and proactive oversight of utilization.
EmpiRx Health’s high-touch, evidence based clinical management and member centric model preserve benefit dollars while delivering positive health outcomes. Guaranteed.
Flexible Clinical Care Solutions tailored to meet client needs
EmpiRx Health believes in empirical or evidence-based decisions as the foundation of our state of the art clinical programs and protocols. Our focus is on driving best-in-class benchmark results by eliminating excess spend and inefficiencies to preserve benefit dollars for today’s high cost specialty drug market. Necessity-driven clinical programs promote overall member health rather than maximizing drug dispensing.
Our proactive clinical management provides valuable insight to ensure that clients are empowered to make appropriate decisions, at the right time. Through real-time claims surveillance and in-depth analyses of utilization we identify savings opportunities while we improve the overall member health experience. We have the results to prove it.
Responsible, Necessity Driven Approach
- Clinical criteria built upon medical appropriateness
- Evidence-based decisions drive best practices and most effective use of plan dollars
- Client choice and control over clinical management
- Formulary management focused on lowering annual drug costs
- Aligned with client and member needs, not Pharma
- Clinical recommendations reflect client goals and plan utilization
- Proactive oversight to isolate and eliminate drug inefficiencies
- Daily claims surveillance identifies immediate actionable recommendations
- High cost and specialty claims review: Rigorous analysis and evaluation to measure clinical program effectiveness
- Rigorous analysis and evaluation to measure clinical program effectiveness
- Member centric clinical program design
- Personalized and compassionate care management
- Point of care technology to engage the member and physician to deliver positive outcomes
Specialty Pharmacy Management Report
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Montvale, NJ - July 14, 2017 - EmpiRx Health is excited to announce the implementation of its Enhanced Hepatitis C Medication Adherence Program which is essential in managing Hepatitis C patient therapy through proactive communications and education. According to a...read more
Montvale, NJ - July 5, 2017 - EmpiRx Health is excited to announce the implementation of its new Opioid Management Program to help reduce opioid abuse among its members. EmpiRx Health currently administers a comprehensive Fraud Waste and Abuse (FWA) Program that helps...read more
Bill Resnick to speak at the Northeast Business Group on Health’s 6th Annual Health & Wellness Benefit Conference
Montvale, NJ - EmpiRx Health is pleased to announce that Bill Resnick, Chairman and CEO, will be speaking at the Northeast Business Group on Health’s 6th Annual Health & Wellness Benefit Conference on June 12th. “I am honored to be speaking at the Northeast Business...read more
A Positive and Personalized Health Experience
EmpiRx Health is your advocate and trusted partner in managing your pharmacy benefit. We actively engage members and providers by educating and informing them to make appropriate and cost effective healthcare decisions. Through our superior clinical protocols we drive members to the RIGHT therapy at the lowest cost ensuring positive health outcomes and lower annual drug costs.